Ph Oral & Maxillofacial Surgery

LBN: Prisma Health Medical Group-Midlands
Ph Oral & Maxillofacial Surgery is an health care organization with primary practice located at 3304 Forest Dr , Columbia SC 29204-4024. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty. Prisma Health Medical Group-Midlands can be contacted via phone (803) 434-6565, or through Lawrence, Kristi via phone (864) 797-6118.

Contact Information

Primary practice address
3304 Forest Dr Columbia SC 29204-4024
Phone: (803) 434-6565
Fax: (803) 434-6299
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Kristi
Phone: (864) 797-6118

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X

Profile Details

NPI number 1295222503
LBN Legal business name Prisma Health Medical Group-Midlands
DBA Doing business as Ph Oral & Maxillofacial Surgery
Authorized official Lawrence, Kristi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2018
Last updated Feb 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295222503 NPPES
South Carolina MEDICAID ZA8923

Popular Providers